Does anyone in the home have medical conditions or physical limitations that might cause difficulty in living with or caring for a pet?*

Household Information

Household Setting*

Dwelling Type*

Do You Rent or Own?*

Please provide written notice from your landlord that you have permission

Landlord's Name

FirstLast

Landlord's Phone

Do you have a completely fenced-in yard?*

Type of Fencing*

Are there any holes or gaps where a dog might work its way through?*

Are there any structures that would allow a dog to climb out of this area?*

Is there a doggie door from the house to the yard?*

Current and Previous Pet Information

Do you currently have any pets or animals?*

Yes

No

What kind of pets do you have currently? (Include age, sex, breed)*

Are they current on vaccinations; rabies & distemper? Are they current on heartworm preventative and annual blood test? (dogs)*

Yes

No

How will your other pets adjust to a new dog entering the household?*

Please provide your veterinarian information and notify them we will be in contact.*

Please provide: Name, Phone, and city/state

Have You had pets in the past?*

Yes

No

What kind of pets have you had in the past?*

What happened to the pets you no longer have?*

Have you ever trained dogs? If yes, what commands were taught?*

What methods of correcting mistakes were used?*

Have you ever turned a pet into a shelter? If yes, please explain.*

Have you ever had a pet euthanized? If yes, please explain.*

Please Provide More Info About The Dog You Are Looking For

Why do you want a new dog?*

Describe in detail the personality of the dog that you are looking for: (personality, energy level, etc…)*

What breed of dog do you prefer? Keep in mind that most rescued dogs are not full-blooded.*

Would you be willing to accept another breed?*

Yes, I love all dogs

No, I have breed constraints

What size of dog do you prefer? About how many pounds?*

Which sex do you prefer?*

Male

Female

What age range(s) would you be willing to accept? (may be breed specific)*

Would you consider a dog with special needs or physical restrictions?*

Yes

No

Are you financially prepared to provide regular veterinary care?*

Yes

No

Will you keep the dog up to date on vaccinations and go for yearly check-ups?*

Yes

No

Where will the dog spend nights?*

Inside

Outside

Where will the dog spend days?*

Inside

Outside

Do you intend to keep the dog primarily indoors, living as part of your family or as an outside dog?*

Inside

Outside

Who will have the primary responsibility for the daily care and well being of your dog? (Feeding, grooming, medical)*

Are you willing and able to exercise the dog on a regular basis? Method(s)*

Please Provide Your Answers to Basic Training Questions Below

If your new dog/puppy is not housebroken, what method will you use?*

How many hours a day will the dog go between potty breaks?*

Are you familiar with crate training?*

Yes

No

If no, are you willing to learn about crate training and consider the use of a crate as a housebreaking and transitional aid?*

Yes

No

What books or other materials have you read concerning dog training or dog behavior?*

Will you consider signing up for obedience classes and if so, which family members will go to training with the dog? (Usually best to start 3 to 4 weeks after your dog has come home with you and has had time to bond with the person or family.)*

Will there be times when the dog will be unattended in the yard? If yes, explain.*

Are there ever times when the dog would be tied up? If yes, explain.*

Will the dog spend any time in the garage? If yes, explain.*

Would you ever allow the dog to ride in the back of a pickup truck? If yes, explain.*

When you go away for a few days or on vacation, who will take care of the dog?*

Are you planning to move in the near future?*

Yes

No

If you move, will you take the dog with you?*

Yes

No

Are you willing to take care of this dog for the next 10-15 years?*

Yes

No

What provisions will you make for the dog should you become unable to care for him?*

Would you be willing to have a rescue representative visit you in your home?*

Yes, Come On Over

No, I am uncomfortable with that

Are you willing to commit financially to owning a dog? (Food, supplies, and medical care averages $750 to over $10,000 for the first year and then $500 to over $9,000 each year after. Source: The Adopted Dog Bible)*

Yes

No

Take The Adoption Pledge:*

I understand that I am committing to ownership for the lifetime of the dog, in sickness and in health. However, if circumstances prevent me from keeping the dog, I will return the dog to the care of Friday’s Rescue Foundation